Fractures II Flashcards

1
Q

What is the definition of an open fracture?

A
  • There is direct cmmunication between the external environment and the fracture
  • Fractures usually communicate with the external environment through open skin, though not always (e.g. through the rectum when a pelvis is fractured)
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2
Q

What is the definition of a dislocation?

A

Complete joint disruption

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3
Q

What is the site and mechanism of injury usually involved in dislocation?

A
  • Shoulder (anterior, posterior)
  • Elbow (posterior)
  • Hip (posterior)
  • Knee (anteropost)
  • Ankle (lateral more common)
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4
Q

What are the complications of an open fracture?

A
  • Soft tissue infection
  • Vascular injury
  • Amputation
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5
Q

What are the complications of joint dislocation?

A
  • Neurovascular damage
  • Recurrent instability
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6
Q

What are the principles of management and outcomes of fractures and dislocations?

A

Fractures:

  • Multidisciplinary standardised approach
  • IV antibiotics ASAP
  • Neurological and vascular status of affected limb assessed at regular intervals
  • Gross contmination removed
  • Wound splinted

Dislocations:

  • Emergency treatment if required
  • Surgery if required
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